Organization
LAWNDALE CHRISTIAN HEALTH CENTER
Active
Organization
LAWNDALE CHRISTIAN HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN RENEE JOHNSON (ASST DIR OF PATIENT ACCOUNTING)
(872) 588-3000
Entity
Organization
Contact information
Practice address
3219 W CARROLL AVE, CHICAGO, IL 60624-2031
(872) 588-3000
Mailing address
3860 W OGDEN AVE, CHICAGO, IL 60623-2460
(872) 588-3000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
122300000X
Dentist
—
—
133N00000X
Nutritionist
—
—
152W00000X
Optometrist
—
—
164W00000X
Licensed Practical Nurse
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/15/2014
Last updated
07/01/2021
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